Jim J Moore MD, PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

C2528 Issued in AR

Legal business name

JIM J MOORE MD, PA

Practice address

500 S University Ave
Ste 305
Little Rock, AR 72205-5302

Phone

(501) 664-4560

Fax

(501) 661-1707

NPI assigned

Jul 26, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jim Moore, MD, PA

Title

Doctor

Phone

(501) 664-4560

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952301517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "STE 305",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-664-4560",
            "fax_number": "501-661-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "STE 305",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-664-4560",
            "fax_number": "501-661-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM J MOORE MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "501-664-4560",
        "authorized_official_credential": "MD, PA"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "AR",
            "license": "C2528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Neurological Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.